Brand Name | STRATUM FOOT PLATING SYSTEM |
Type of Device | PLATE |
Manufacturer (Section D) |
MEDARTIS INC. |
1195 polk drive |
warsaw IN 46582 |
|
Manufacturer (Section G) |
MEDARTIS INC. |
1195 polk drive |
|
warsaw IN 46582 |
|
Manufacturer Contact |
travis
christman
|
1195 polk drive |
warsaw, IN 46582
|
|
MDR Report Key | 18434431 |
MDR Text Key | 331866308 |
Report Number | 3009540749-2023-00008 |
Device Sequence Number | 1 |
Product Code |
HRS
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K182201 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
01/03/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/03/2024 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 12/04/2023 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|